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System Highlights. Paragraph 1: The Staff Quality Improvement System is comprised of three major components:

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• Highlights WI-HER and RTI collaborated with NTDCP to conduct a GESI Pause and Reflect (P&R) meeting in Arusha from October 17-19, 2022. The meeting brought together the six councils (Ulanga DC, Mlimba DC, Longido DC, Monduli DC, Simanjiro DC and Kiteto DC) where the GESI behavior change activity was implemented in FY22 to document lessons learned and plan for GESI implementation in FY23. The meeting highlighted the importance of health education in addressing barriers to MDA uptake and involving government and traditional community leaders in MDA. Participants also discussed how to integrate GESI lessons learned into the CDD training package and potential activities for CCHPs. • Act | East supported the NTDCP to conduct a preparation meeting for the upcoming CCHP Pause and Reflect meeting in November. The preparation meeting was conducted in Singida from October 21-23, 2022. The technical team involved officers from PORALG, Directorate of Policy and Planning (DPP) office of the MOH, R4D, and WI-HER who collaboratively reviewed the meeting agenda, presentations, and documentation tools. During this preparation meeting, NTDCP and XXXXXX strongly recommended a high-level advocacy following the CCHP P&R meeting. This will be important for more resource mobilization at national and sub-national levels. Upcoming activities requiring COVID protocols: • Act | East will collaborate with NTDCP, DPP office of the MOH, and PORALG to conduct the CCHP P&R meeting from November 15-18 in Dodoma. The meeting will bring together district NTD coordinators and health secretaries from the 15 districts that implemented the CCHP activity in FY22 to gather feedback on the CCHP process, successes, challenges and way forward. • In collaboration with NTDCP and PORALG, Act | East will organize review and planning meetings for the districts and regions conducting trachoma and OV MDAs in FY23. The activity will be conducted in Morogoro from November 7-10, 2022 and will be followed by the training of trainers for trachoma and OV MDAs on November 11th. • Act | East will support the NTDCP to conduct SCH and STH MDA in 41 districts in November 2022. This MDA was postponed from FY22 Q4. • In collaboration with NTDCP, Act | East will conduct an LF disease-specific assessment (DSA) outcome investigation in Pangani DC and Kilwa DC in November. • Act | East Tanzania XXXXX staff will attend the NTD Information System (NIS) training in Mozambique from November 28 – December 3rd. • Act | East will support NTDCP and the National Institute for Medical Research (NIMR) Tanga lab to conduct analysis of Dried Blood Spot (DBS) samples collected in FY22 for OV using OV16 rapid diagnostic tests. COVID-19 data monitoring sources: WHO: xxxxx://xxxxx00.xxx.xxx/region/afro/country/tz October 2022 UGANDA Act | East Partner: RTI, The Xxxxxx Center, WI-HER, R4D, Save the Children Total population: 46,205,893 (2022) COP: [Redacted] Districts: 136 RTI HQ Team: [Redacted] Endemic diseases: LF (66), TRA (41), OV (43), SCH (91), STH (136) TABLE: Activities supported by USAID in FY23 LF OV Trachoma MDA N/A 8/11 districts (R1) 0/11 districts (R2) 0/2 districts (Dec 2022) 0/5 districts (June 2023) DSAs (#EUs) TAS 2: 0/8 EUs TAS 3: 0/3 EUs N/A TSS+: 2 EUs Confirmatory mapping: 2 districts XXXXX Targeted follow-up investigation in two districts of Nabilatuk and Buliisa Data quality assessment (DQA) in Buliisa district HSS High-level meeting on mainstreaming NTD drugs Building domestic resource mobilization capacity workshops National advocacy meeting Finalize and institutionalize GESI MDA training curriculum Finalize integration of GESI into MOH-led social and behavior change packages GESI behavior change activity scale up in two districts. Summary and explanation of changes made to table above since last month: N/A • Table is updated with planned FY23 activities. • OV MDA was completed in 8 districts by TCC. Ebola Update: • On 15 September, an index case of Ebola virus disease (EVD) was identified in Mubende District, Uganda. The Ministry of Health declared an outbreak of Sudan EVD on 20 September. As of 6 November, 135 cases have been confirmed throughout 7 districts. The CoP has weekly update meetings with HQ and HO and is actively monitoring the situation. We are developing SOPs and monitoring closely how the virus evolves within Uganda to be ready to change plans should Ebola be confirmed in our implementing districts. Highlights: RTI • Cross border Joint MDA Review Meeting. Act | East supported the RTI team to attend the Joint MDA review meeting in Kisumu, Kenya from 26–27 October. The objective of the meeting was to review progress and document learnings and gains from the previous joint MDA and to disseminate the MDA results. The meeting was attended by Senior MOH officials from both countries, district officials from border districts, Secretary for Health West Pokot County and partners. Some of the key recommendations were (1) to delay trachoma impact survey in West Pokot for 1 more round of MDA to have a joint impact survey with Uganda to realize intended outcomes; (2) Kenya adopting house to house approach of MDA implementation with VHTs; and

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